Claims Adjusters, Examiners, and Investigators

Location:

2721 N Central Ave, Phoenix, Arizona 85004 United States of America

Repwest Insurance is seeking a Claims Adjuster to handle Truck, Trailer and Storage property damage claims. This is an in-office position in our Phoenix, Arizona office.

As an adjuster at Repwest, you will be responsible for investigating, evaluating, and resolving property damage claims.

This is an onsite position that is located at our corporate campus in Phoenix, AZ.*

Essential Duties:

+ Review claims to determine coverage

+ Contact all parties, via phone, text, email and mail; to investigate coverage and liability

+ Assign independent adjusters as needed for field work

+ Prepare formal denial letters

+ Gather necessary documents to determine settlement value of claim

+ Maintain productivity within company set standards

Requirements:

+ High School Diploma or equivalent experience

+ Must obtain an Arizona adjuster’s license within six months of employment.

+ Good communication and organizational skills

+ Basic computer skills with knowledge of Microsoft Word and Excel

U-Haul/Repwest Offers:

+ Full Medical coverage

+ Prescription plans

+ Dental & Vision Plans

+ New indoor fitness gym

+ Gym Reimbursement Program

+ Registered Dietitian Program

+ Weight Watchers

+ Onsite medical clinic for you and your family

+ Career stability

+ Opportunities for advancement

+ Valuable on-the-job training

+ Tuition reimbursement program

+ Free online courses for personal and professional development at U-Haul University®

+ Business and travel insurance

+ You Matter Employee Assistance Program

+ Paid holidays, vacation, and sick days

+ Employee Stock Ownership Plan (ESOP)

+ 401(k) Savings Plan

+ Life insurance

+ Critical Illness/Group Accident

+ 24-hour physician available for kids

+ MetLaw Legal program

+ MetLife auto and home insurance

+ Mindset App Program

+ Discounts on cell phone plans, hotels, and more

+ LifeLock Identity Theft

+ Savvy consumer wellness programs - from health care tips to financial wellness

+ Dave Ramsey’s SmartDollar Program

+ U-Haul Federal Credit Union

+ Wellness Program

U-Haul Holding Company, and its family of companies including U-Haul International, Inc. (“U-Haul”), continually strives to create a culture of health and wellness. Consistent with applicable state law, U-Haul will not hire or re-hire individuals who use nicotine products. The states in which U-Haul will decline to hire nicotine users are: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Pennsylvania, Texas, Utah, Vermont, Virginia, and Washington. U-Haul has observed this hiring practice since February 1, 2020 as part of our commitment to a healthy work environment for our team.

U-Haul is an equal opportunity employer. All applicants for employment will be considered without regard to race, color, religion, sex, national origin, physical or mental disability, veteran status, or any other basis protected by applicable federal, provincial, state or local law. Individual accommodations are available on requests for applicants taking part in all aspects of the selection process. Information obtained during this process will only be shared on a need to know basis.

Since 1945, U-Haul has been serving do-it-yourself movers and their households. Like many other successful ventures, the concept for U-Haul was generated out of need. After World War II, there existed the widespread need for do-it-yourself moving equipment that would be available on a one-way, nationwide basis. U-Haul co-founders L.S. "Sam" Shoen and his wife, Anna Mary Carty Shoen, recognized that need and acted upon it. Their visionary approach spread the cost of ownership among many users, facilitating the mobility of the populations of the U.S. and Canada. The covered wagon of the pioneers morphed into orange U-Haul trailers. In the process, an industry was born.

Ideal candidate will be located in Tucson, AZ.

Job Summary:

Responsible for creating or auditing a comprehensive estimate of damages for 1st and 3rd party material damage claims in either the auto or specialty lines leading to the proper disposition. Responsible for controlling quality and providing technical assistance on material damage claims in the city of Tucson, Arizona.

Key Responsibilities:

+ Possesses strong estimating fundamentals in order to create or audit estimates of damages on 1st and 3rd party material damage losses of all severities

+ Possesses a deep understanding of the content of all policy types written by the company

+ Negotiates settlements, makes settlement payments and documents all activities in the most complex of files across multiple lines

+ Evaluates settlement alternatives by reviewing regulatory compliance and fair claims practices; makes decisions on best option

+ Builds mastered relationships with both internal and external customers across multiple lines

Supervisory Responsibilities:

This job does not have supervisory duties

Preferred Qualifications:

Education and Experience

+ Bachelor’s degree preferred or equivalent experience

+ 8 or more years of related experience

Certificates, Licenses, Registrations

+ Ability to obtain and maintain adjuster licenses as required

Functional Skills

+ Possess knowledge of estimatics software (Mitchell/CCC/Audatex, etc.)

+ Strong interpersonal skills

+ Ability to operate electronic devices including computers, cameras and cell phones

+ Strong verbal and written communication skills

+ Possess effective skills in time management, organization, and the ability to work under pressure

+ Ability to adhere to project deadlines and remain flexible in a changing environment

National General prides itself on offering our employees a robust Total Rewards package which includes base salary. The base range offered for the role is: $62,000 - $90,000 and may vary based on internal equity, and job-related skills, knowledge and experience; among other factors. Other financial components may be added as part of the competitive compensation package, in addition to a full range of benefits, dependent on the level and position offered.

National General Holdings Corp. is an Equal Opportunity (EO) employer – Veterans/Disabled and other protected categories. All qualified applicants will receive consideration for employment regardless of any characteristic protected by law. Candidates must possess authorization to work in the United States, as it is not our practice to sponsor individuals for work visas.

In the event you need assistance or accommodation in completing your online application, please contact NGIC main office by phone at (336) 435-2000.

National General Holdings Corp., a member of the Allstate family of companies, is headquartered in New York City. National General traces its roots to 1939, has a financial strength rating of A– (excellent) from A.M. Best, and provides personal and commercial automobile, homeowners, umbrella, recreational vehicle, motorcycle, supplemental health, and other niche insurance products. We are a specialty personal lines insurance holding company. Through our subsidiaries, we provide a variety of insurance products, including personal and commercial automobile, homeowners, umbrella, recreational vehicle, supplemental health, lender-placed and other niche insurance products.

National General is a fast paced, dynamic, and entrepreneurial organization. Our team members live by and exemplify what we call the 4Es. At National General, we are Energized, Engaged, Empowered, and we Execute every day in order to provide an exceptional experience for our customers! We are passionate about our organization and the value that we add every day. A successful candidate with National General will embody the 4Es. Our team is poised to outperform the competition. We are National General Insurance and with us you can be extraordinary! Come join our team!

**Become a part of our caring community and help us put health first**

Assist local pharmacies with claims adjudication to support medication access for HC & LTC hospice patients; reconcile historic billing issues.

**Essential Duties and Responsibilities:**

* Assist in setting up and maintaining hospice/facility/pharmacy relationships under the direction of the Pharmacy Claims Team Leaders & the Pharmacy Claims (Support Services) Manager

* Assist pharmacies with claims adjudication

* Complete incoming tasks as assigned by the Pharmacy Claims Team Leaders and the Pharmacy Claims (Support Services) Manager

* Obtain all necessary information for facilities and their related pharmacies

* Assist the Call Center management team with projects to enhance the workflow and success of the Call Center

* Assist Customer Service team with claims research/resolution

*Assist with new hires training

**Location: Remote US**

**Shift: Monday-Friday 2:30pm-11pm EST. Flexibility to work alternating weekends between the hours of 9am-8pm EST. Flexibility to work 2 holidays per year.**

**RESPONSIBILITIES (include but are not limited to):**

**Billing:**

* Assist pharmacies with claims adjudication by adjusting/correcting authorizations in dispensing systems and PBM systems

* Ensure timely adjudication of prescription claims through PBM systems

* Contact hospices for authorizations/approvals for submitted claims where necessary

* Ensure accuracy of patient profile data including related/not related status, authorization status, etc

* Research and correct pharmacy invoices from hospices

* Demonstrate basic understanding of Enclara Pharmacia standard/custom formularies

* Understand formulary and billing platform differences (PD vs. FFS) from hospice to hospice

* Assist Customer Service team with claims research/resolution via dispensing systems, PBM systems and fax systems

* Evaluate compound claims for proper ingredients/qtys/cost and ensure timely claims adjudication

* Research claims for hospice/pharmacy audits

**New Hospice Start-Ups:**

* Complete assigned facility/pharmacy spreadsheet by contacting both the facilities and pharmacies to verify accuracy of all information provided.

* Coordinate all information for facility pharmacies including verification of PBM systems.

* Update facility pharmacy spreadsheets and implementation team members on the progress with these pharmacies.

* Communicate with the facility pharmacies on proper billing procedures and contact information for rejected claims.

**New Facilities:**

* Gather partial information from Call Center on facilities not listed and obtain correct information to be entered into the database.

* Link facilities to their respective hospices once all information is obtained.

* Assist with Confirmation Fax reports to update facility and pharmacy relationships and demographic information.

**Use your skills to make an impact**

**Qualifications:**

+ Strong verbal and written communication skills, including the ability to tailor communication to audience.

+ Self-motivated, organized

+ Strong attention to detail

+ Team player

+ Problem-solving skills and ability to follow through on tasks assigned

+ Ability to handle multiple tasks, meet deadlines, and follow-up timely.

**Required Education and/or Experience:**

+ 1+ years of Pharmacy Technician experience

+ Strong knowledge working with pharmacy claims judication

+ **Must have experience with electronic claims submissions OR be a current internal Enclara Pharmacia associate**

**Preferred Experience:**

+ PBM experience

+ Dispensing system experience

+ CPhT or EXCPT

+ Drug knowledge

+ High school diploma

**Scheduled Weekly Hours**

40

**Pay Range**

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.$37,200 - $51,200 per year

**Description of Benefits**

Humana, Inc. and its affiliated subsidiaries (collectively, 'Humana') offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

**About us**

About Enclara: Pharmacia Enclara Pharmacia is the nation's largest full-service hospice and palliative care Pharmacy Benefits Manager, offering compassionate and cost-effective services to our most vulnerable patients. As a wholly owned subsidiary of Humana, Enclara works closely with hospice providers to reduce pharmacy costs, improve patient care and support caregivers through digital innovations, flexible medication access, one-on-one clinical support and excellent customer service.About Humana: Humana Inc. (NYSE: HUM) is committed to putting health first - for our teammates, our customers, and our company. Through our Humana insurance services, and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a better quality of life for people with Medicare, Medicaid, families, individuals, military service personnel, and communities at large.

**Equal Opportunity Employer**

It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humana to take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.

Humana complies with all applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, sex, sexual orientation, gender identity or religion. We also provide free language interpreter services. See our https://www.humana.com/legal/accessibility-resources?source=Humana_Website.

claims analyst.

+ phoenix , arizona

+ posted today

**job details**

summary

+ $18 - $19 per hour

+ temporary

+ high school

+ category office and administrative support occupations

+ referenceAB_4520017

job details

Exciting Job Opportunity: Claims Analyst

Are you ready to take your claims analysis skills to the next level? We have an exciting opportunity for a Claims Analyst to join our dynamic team and make a significant impact in our operations!

About the Role: As a claims analyst you will handle a diverse range of claims, correspondence, quality assurance, and escalations. Your primary goal will be to ensure the satisfaction of our team's goals and priorities while meeting the expectations of both internal and external clients. You'll play a crucial role in claim handling, adhering to Service Level Agreements, and maintaining high standards of quality and accuracy.

salary: $18 - $19 per hour

shift: First

work hours: 8 AM - 4:30 PM

education: High School

Responsibilities

• Follows written procedures and scripts

• Consults with team leadership and peers on case work

• Uses proprietary software tools to access and review claim documents, enter claim decisions, and create escalations when needed

• Communicates immediately to leadership all obstacles to completing work

• Meets and exceeds departmental expectations for accuracy and productivity

• Contributes subject area expertise to determine processing guidelines and assess if standards have been met

• Utilizes documented team processes to ensure compliance with departmental standards

• Data entry and verification

• Drafts claimant facing communications based on guidance provided

• Communicates directly with claimants by phone or email

• Verifies data and processing requirements and makes corrections as necessary

• Other projects as assigned

Skills

+ Claims Processing

+ Claims

Qualifications

+ Years of experience: 1 year

+ Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

**get in touch**

we are here to help you with your questions.

CM

**chelsea martin**

+ +1 813 903 7100 (tel:+1 813 903 7100)

+ [email protected]

**Why USAA?**

Let’s do something that really matters.

We have an important mission: serving the members of the military community and their families. It’s both a chance to say thank you and the opportunity to put your talents to work in a meaningful way. To do it right, we need the right people. We’re looking for those who share our values of honesty, integrity, loyalty and service. Because what we do is just as important as how we do it. Come be a part of what makes us so special!

It is all about learning and growing.

Our Customer Service Claims Representative role may be a new career for you. There’s a lot to learn, but the pathway is mapped out and USAA is willing to invest in you! Our comprehensive, fully paid four-month training program includes all training materials, licensing costs, class discussions, hands-on training, e-learning modules, and the instructor led guidance will help you to support our members independently.

Our in-office development program provides the training you need and the encouragement to create a proactive and independent support style to service our membership. After completion of training and six months of working in the position, you’ll have the opportunity to work in office three days a week. Relocation assistance is not available for this position.

**The Opportunity**

We are currently seeking dedicated professionals to **work in our Phoenix office** for future customer service claims opportunities in **2024** . We have new training classes starting every month. Military veterans and spouses are highly encouraged to apply.

Work schedules will vary and may include some **nights and weekends** . Schedules will be assigned based on business needs.

Regularly scheduled shift hours after 6 p.m. local time during the week and/or on the weekend will be eligible for **shift premium pay** .

As a Customer Service Claims Representative you will be part of an outstanding contact service center, where you will focus on providing claims service to members regarding the initial contact on all **auto OR property** First Notice of Loss (FNOL) claims. In addition, you will respond to status inquiries from various parties, document reported losses, set appropriate expectations, provide proactive communications, advice, and empathy to our members.

**What you'll do:**

+ Document First Notice of Loss by obtaining relevant information for effective claim investigation. Set up appropriate services, as needed, to proactively move claims forward to the furthest point in the process within scope of role and expectation.

+ Create loss reports, describe or verify coverage as appropriate, and initiate the most effective method of damage assessment to assign for file handling.

+ Assist with questions regarding the claims process and set expectations for next steps to help ensure claims are effectively resolved and accurately documented.

+ Resolve status inquiries and, when appropriate, route to handling adjuster.

+ Effectively operate in a fast-paced, high-volume, contact center environment taking back-to-back calls and navigating multiple systems and programs while maintaining an engaging member interaction that occurs across multiple communication channels.

+ Apply strong time management skills by closely adhering to assigned work schedule.

+ Embrace continuous improvement and development through coaching and collaboration with manager and team members.

+ Use strong call management skills by assisting members within a timely manner and limiting non-productive time.

+ May assign or initiate emergency services when required on specific claims.

+ Support workload surges and catastrophe (CAT) response operations as needed which may include potential weekends, and/or holiday work outside normal work hours.

+ Work various types of claim loss notices and inquiries, including ones of higher complexity, and may be assigned additional work outside normal duties as needed.

+ Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

**What you have:**

+ High School Diploma or GED

+ Ability to provide exceptional customer service for our members by using active listening, verbal, and written communication skills to communicate clearly, professionally, and empathetically.

+ Highly developed interpersonal skills to collaborate effectively in a fast-paced team environment.

+ Ability to prioritize and multi-task while navigating through multiple business applications.

+ Successful completion of a job-related assessment is required.

+ May require acquisition and maintenance of insurance adjuster license within 90 days. (USAA provides all materials and licensing fees)

**What sets you apart:**

+ US military experience through military service or a military spouse/domestic partner

The above description reflects the details considered necessary to describe the principal functions of the job and should not be construed as a detailed description of all the work requirements that may be performed in the job.

**What we offer:**

**Compensation:** USAA has an effective process for assessing market data and establishing ranges to ensure we remain competitive. You are paid within the salary range based on your experience and market data of the position. The actual salary for this role may vary by location. The hiring range for this position is: $43,750 to $45,750 **.**

Employees may be eligible for pay incentives based on overall corporate and individual performance and at the discretion of the USAA Board of Directors.

**Benefits:** At USAA our employees enjoy best-in-class benefits to support their physical, financial, and emotional wellness. These benefits include comprehensive medical, dental and vision plans, 401(k), pension, life insurance, parental benefits, adoption assistance, paid time off program with paid holidays plus 16 paid volunteer hours, and various wellness programs. Additionally, our career path planning and continuing education assists employees with their professional goals.

For more details on our outstanding benefits, visit our benefits page on USAAjobs.com.

_Applications for this position are accepted on an ongoing basis, this posting will remain open until the position is filled. Thus, interested candidates are encouraged to apply the same day they view this posting._

_USAA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran._

USAA is an EEO/AA Employer - applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, disability, genetic information, sexual orientation, gender identity or expression, pregnancy, protected veteran status or other status protected by law.

**Who Are We?**

Taking care of our customers, our communities and each other. That’s the Travelers Promise. By honoring this commitment, we have maintained our reputation as one of the best property casualty insurers in the industry for over 160 years. Join us to discover a culture that is rooted in innovation and thrives on collaboration. Imagine loving what you do and where you do it.

**Job Category**

Claim

**Compensation Overview**

The annual base salary range provided for this position is a nationwide market range and represents a broad range of salaries for this role across the country. The actual salary for this position will be determined by a number of factors, including the scope, complexity and location of the role; the skills, education, training, credentials and experience of the candidate; and other conditions of employment. As part of our comprehensive compensation and benefits program, employees are also eligible for performance-based cash incentive awards.

**Salary Range**

$46,900.00 - $77,400.00

**Target Openings**

1

**What Is the Opportunity?**

Travelers' Claim Organization is at the heart of our business. By providing assurance to our customers during life's rainy days, the Travelers Workers Compensation Claim team is committed to partnering with our business insurance customers to help their injured employees return to work as soon as medically appropriate. As a Workers Compensation Claim Professional Trainee, you will handle all aspects of a workers compensation claims. In this role, you will learn how to help our customers and their injured employees when they are injured at work. You will develop the technical skills needed for quality claim handling including investigating, evaluating, negotiating, and resolving claims on losses of lesser value and complexity and provide claim handling throughout the claim life cycle. As part of the hiring process, this position will require the completion of an online pre-employment assessment. Further information regarding the assessment including an accommodation process, if needed, will be provided at such time as your candidacy is deemed appropriate for further consideration.

**What Will You Do?**

+ Complete virtual, classroom, and on-the-job training which includes the overall instruction, exposure, and preparation for employees. Completion of an internal training program is required to progress to next level position. The training may require travel.

+ Handle all aspects of a Workers Compensation claim including completing investigations, setting accurate reserves, and making various claim-related decisions under direct supervision. As a trainee, you may also be exposed to claims that could involve litigation, settlement negotiations, Medicare set asides and offsets.

+ Communicate and apprise all parties regarding claim status which may include our business customers, injured employees, medical providers, and legal counsel.

+ Investigate, develop, and evaluate action plans for claim resolution. Assess coverage and determine if a claim is compensable under Workers Compensation including evaluating claims for potential fraud.

+ Achieve a positive result by returning an injured party to work when appropriate. This may include coordinating medical treatment in collaboration with internal or external resources.

+ Effectively prioritize and manage a Workers Compensation claim inventory, including filing and diary systems, document plans of action and complete time-sensitive required letters and state forms.

+ Participate in Telephonic and/or onsite File Reviews.

+ Acquire and maintain relevant Insurance License(s) to comply with state and Travelers’ requirements within three months of starting the job.

+ Perform other duties as assigned.

**What Will Our Ideal Candidate Have?**

+ Bachelor’s Degree or a minimum of 2 years of work or customer service-related experience.

+ Ability to work in a high volume, fast paced environment managing multiple priorities while facing ambiguity.

+ Able to review information from multiple sources and use analytical thinking and problem-solving skills to accurately achieve optimal claim outcomes and determine appropriate next steps.

+ Ability to own and manage all assigned tasks.

+ Provide excellent customer experience by communicating effectively, verbally and written.

+ Able to work independently and in a team environment.

+ Strong attention to detail.

**What is a Must Have?**

+ High School Diploma or GED

+ One year of customer service experience OR Bachelor’s Degree.

**What Is in It for You?**

+ **Health Insurance:** Employees and their eligible family members – including spouses, domestic partners, and children – are eligible for coverage from the first day of employment.

+ **Retirement:** Travelers matches your 401(k) contributions dollar-for-dollar up to your first 5% of eligible pay, subject to an annual maximum. If you have student loan debt, you can enroll in the Paying it Forward Savings Program. When you make a payment toward your student loan, Travelers will make an annual contribution into your 401(k) account. You are also eligible for a Pension Plan that is 100% funded by Travelers.

+ **Paid Time Off:** Start your career at Travelers with a minimum of 20 days Paid Time Off annually, plus nine paid company Holidays.

+ **Wellness Program:** The Travelers wellness program is comprised of tools and resources that empower you to achieve your wellness goals. In addition, our Life Balance program provides access to professional counseling services, life coaching and other resources to support your daily life needs. Through Life Balance, you’re eligible for five free counseling sessions with a licensed therapist.

+ **Volunteer Encouragement:** We have a deep commitment to the communities we serve and encourage our employees to get involved. Travelers has a Matching Gift and Volunteer Rewards program that enables you to give back to the charity of your choice.

**Employment Practices**

Travelers is an equal opportunity employer. We believe that we can deliver the very best products and services when our workforce reflects the diverse customers and communities we serve. We are committed to recruiting, retaining and developing the diverse talent of all of our employees and fostering an inclusive workplace, where we celebrate differences, promote belonging, and work together to deliver extraordinary results.

If you are a candidate and have specific questions regarding the physical requirements of this role, please send us an email ([email protected]) so we may assist you.

Travelers reserves the right to fill this position at a level above or below the level included in this posting.

To learn more about our comprehensive benefit programs please visit http://careers.travelers.com/life-at-travelers/benefits/ .

**Title:**

Claims Adjuster (SCA) HHG/Military Move

**HomeSafe Alliance** is the single global household goods movement manager of over 300,000 Military Household Goods moves per year for USTRANSCOM and the U.S. Armed Forces, Department of Defense civilians, U.S. Coast Guard, and their families.

**This is an SCA position** .

**Position Summary** :

**HomeSafe Alliance** is seeking experienced Claims Adjustors with experience in HHG/Military Move to process and settle claims according to DOD regulations and/or account requirements within the required company timeframe. Adjust claims and make payments and chargeback assessments for cargo, property damage, inconvenience claims, and MCO Demand settlement according to company policies. The claims adjuster responds to internal and external customer disputes and inquiries according to company policies. Must be exceptionally customer service oriented, have effective listening, verbal, and written communication skills, and possess a friendly, helpful demeanor.

**Required Education, Knowledge & Skills:**

+ High school diploma, some college-related courses or Associates Degree desired

+ Previous claims adjusting experience preferred in personal property or cargo claims

+ Must be a U.S. citizen due to contractual requirements.

+ Excellent oral and written communication skills

+ Proficient computer skills – MS Office: Outlook, Word, Excel, PowerPoint)

+ Detail-oriented with superior organizational and time management skills

+ Positive interpersonal and problem-resolution skills

**Job Functions:**

+ Analyze, process, and settle incoming DOD claims in accordance with company policies and within assigned time limits (and per DOD regulations if applicable), assuring that an average claims settlement quota per week is met. This includes cargo, property, and inconvenience claims as assigned.

+ Assess claims liability and chargebacks in accordance with contracts and policies, including providing advance notice of chargeback to agents.

+ Respond to internal and external customer disputes and inquiries, assuring timely response per company policy whether the dispute is in writing or by phone.

+ Utilize the internet as a source for dollar amount comparisons

+ Pay routine repair invoices

+ Answer and direct incoming calls

+ Provide excellent customer service using sound judgment and decision making

+ Strong time management and organization skills with the ability to prioritize and complete assignments on schedule

+ Professional, friendly customer-centered demeanor

+ Ensure claims files are properly documented and claims coding is accurate

+ Typing, filing, scanning, copying, and general office clerical duties

+ Ability to interpret procedures and ensure understanding of compliance

+ Performs other job-related duties as needed

\#LI-SH

Benefits:

+ Medical, Dental and Vision Insurance.

+ Paid time off (PTO) Three weeks of PTO for newly hired employees

+ 401(k)

+ Health and Wellness Programs

+ Disability, Life and AD&D insurance

+ Employee Support program

+ Family Support: Bright Horizons, child and elder care services

+ Teladoc Medical Experts, second opinion program

+ Travel Accident & Medical

+ TRICARE Supplement Plan

+ Voluntary Benefit Plans

+ And more!

HomeSafe is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, disability, sex, sexual orientation, gender identity or expression, age, national origin, veteran status, genetic information, union status and/or beliefs, or any other characteristic protected by federal, state, or local law.

Marine Claims Senior Claims Specialist Role

112521

Zurich North America is hiring an Marine Claims Senior Claims Specialist Role to join our team! We are open to remote work for the right candidate located within the U.S..

In this role you will be responsible for:

+ Ability to handle dedicated accounts.

+ Frequent interaction with Assureds, Brokers and Underwriters.

+ Some travel may be required but this is not very frequent.

Basic Qualifications:

+ Bachelor’s Degree and 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ Juris Doctor and 2 or more years of experience in the Claims and/ or Litigation Management area.OR

+ Zurich Certified Insurance Apprentice, including an Associate Degree with 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ Completion of Zurich Claims Training Program and 6 or more years of experience in the Claims and/ or Litigation Management area.OR

+ High School Diploma Equivalent and 8 or more years of experience in the Claims and/ or Litigation Management area.AND

+ Must obtain and maintain required adjuster license(s)

+ Microsoft Office experience

+ Knowledge of insurance regulations, markets and products

Preferred Qualifications:

+ Extensive Marine claims experience preferred.

+ Emphasis on Marine Liability, Hull, Blue water and brown water claims, Jones Act, General Average and Ocean Cargo Claims experience preferred.

+ Licensed in all states as needed preferred.

+ Effective verbal and written communication skills

+ Strong analytical, critical thinking and problem-solving skills

+ Strong multi-tasking and prioritization skills

+ Experience collaborating in a team environment and building cross functional working relationships

+ Proactively shares and promotes sharing of insights

+ Ability to gather unique perspectives from other teams/functions to optimize outcomes.

+ Understands, analyzes, and applies the component parts of an insurance policy for complex claims

+ Ability to follow reserving process for indemnity and expense in analyzing the potential exposure of complex claims

+ Ability to determine the scope and exposure for complex claims

+ Ability to leverage trend and relationships to provide high-quality customer service

+ Well-versed in identifying, understanding and explaining complex financial and/or actuarial trends/concepts.

+ Ability to effectively communicate coverage determinations to customers/clients/brokers for complex claims

+ Ability to direct counsel on an ongoing basis to guide the course of complex litigation and settlement strategies

Compensation for roles at Zurich varies depending on a wide array of factors including but not limited to the specific office location, role, skill set, and level of experience. As required by local law, Zurich provides in good faith a reasonable range of compensation for roles. For additional information about our Total Rewards, click here (https://www.zurichna.com/careers/benefits) . Other rewards may include short term incentive bonuses and merit increases. **Candidates with salary expectations outside of the range are encouraged to apply, and will be considered based on experience, skill, and education.** The salary provided is a nationwide market range and has not been adjusted for the applicable geographic differential associated with the location where the position may be filled. The starting salary range for this position is $72,800.00 - $119,200.00.

As a condition of employment at Zurich, employees must adhere to any COVID-related health and safety protocols in place at that time ( https://www.zurichna.com/careers/faq ).

A future with Zurich. What can go right when you apply at Zurich?

Now is the time to move forward and make a difference. At Zurich, we want you to share your unique perspectives, experiences and ideas so we can grow and drive sustainable change together. As part of a leading global organization, Zurich North America has over 150 years of experience managing risk and supporting resilience. Today, Zurich North America is a leading provider of commercial property-casualty insurance solutions and a wide range of risk management products and services for businesses and individuals. We serve more than 25 industries, from agriculture to technology, and we insure 90% of the Fortune 500®. Our growth strategy is not limited to our business. As an employer, we strive to provide ongoing career development opportunities, and we foster an environment where voices are diverse, behaviors are inclusive, actions drive equity, and our people feel a sense of belonging. Be a part of the next evolution of the insurance industry. Join us in building a brighter future for our colleagues, our customers and the communities we serve. Zurich maintains a comprehensive employee benefits package for employees as well as eligible dependents and competitive compensation. Please clickhere (https://www.zurichna.com/careers) to learn more.

As a global company, Zurich recognizes the diversity of our workforce as an asset. We recruit talented people from a variety of backgrounds with unique perspectives that are truly welcome here. Taken together, diversity and inclusion bring us closer to our common goal: exceeding our customers’ expectations. Zurich does not discriminate on the basis of age, race, ethnicity, color, religion, sex, sexual orientation, gender expression, national origin, disability, protected veteran status or any other legally protected status. EOE disability/vet

Zurich does not accept unsolicited resumes from search firms or employment agencies. Any unsolicited resume will become the property of Zurich American Insurance. If you are a preferred vendor, please use our Recruiting Agency Portal for resume submission.

Location(s): AM - Los Angeles, AM - Remote Work (US)

Remote Working: Yes

Schedule: Full Time

Employment Sponsorship Offered: No

Linkedin Recruiter Tag: #LI-LC1 #LI-ASSOCIATE #LI-REMOTE

**You’ll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on some tough challenges.**

**Optum** is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data, and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits, and career development opportunities. Come make an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start **Caring. Connecting. Growing together.**

This position is full-time. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 6:00am – 3:30pm PST. It may be necessary, given the business need, to work occasional overtime.

We offer weeks of on-the-job training. The hours during training will be 8:30am - 5:30pm PST, Monday – Friday.

_*All Telecommuters will be required to adhere to UnitedHealth Group’s Telecommuter Policy._

**Primary Responsibilities:**

+ Accurately process professional claims.

+ Responsible for editing and adjusting of claims per the EDI daily audit report.

+ Analyze and adjudicate claims to ensure accurate payment

+ Interpret Fee for Service (FFS) and capitated provider contracts

+ Review claims on a periodic basis

+ Meet Department Quality of 98.50% or better on a weekly and monthly basis. Meet production standard of 350 claims per day.

+ Interfaces with other departments such as eligibility, UM, Configuration to obtain necessary information required for resolution of claims.

+ Advise management of any claim issues or inappropriate and/or incorrect billing

+ Other duties assigned by management.

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

**Required Qualifications:**

+ High School Diploma / GED OR equivalent experience

+ 1+ years of experience processing professional medical Insurance claims

+ Experience using windows based programs including Microsoft Word, Microsoft Excel and Microsoft Outlook

+ Must be 18 years of age OR older

+ Ability to work full-time between 6:00am – 3:30pm PST including the flexibility to work occasional overtime given the business need

**Preferred Qualifications:**

+ 2+ years of experience as a Medical Claims Examiner.

+ 2+ years of experience of professional claims processing.

+ Prior Medicare, HMO experience

+ CPT and HCPCS coding skills.

+ Experience in contract interpretation.

+ Working knowledge of Medical Terminology, ICD9, ICD10, CPT4, UB92/1500 forms.

**Telecommuting Requirements:**

+ Ability to keep all company sensitive documents secure (if applicable)

+ Required to have a dedicated work area established that is separated from other living areas and provides information privacy.

+ Must live in a location that can receive a UnitedHealth Group approved high-speed internet connection or leverage an existing high-speed internet service.

**California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Washington or Rhode Island Residents Only:** The hourly range for California / Colorado / Connecticut / Hawaii / Nevada / New York / New Jersey / Washington / Rhode Island residents is $16.54 - $32.55 per hour. Pay is based on several factors including but not limited to education, work experience, certifications, etc. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives.

_At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups, and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission._

_Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity / Affirmative Action employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law._

_UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment._

**\#RPO**

fraud claims specialist.

+ tempe , arizona

+ posted today

**job details**

summary

+ $19.99 - $20 per hour

+ temp to perm

+ no requirements

+ category office and administrative support occupations

+ referenceAB_4518558

job details

Are you an experienced backend/financial services professional looking to secure a role within fraud? If so, this is a great opportunity to join our clients Signature Non-Fraud team! Randstad is looking to hire several Fraud Claims Specialists and we are seeking candidates with great attention to detail, advanced processing skills and the ability to quickly and efficiently navigate multiple systems at once. If that sounds like you, please today!

salary: $19.99 - $20 per hour

shift: First

work hours: 8:30 AM - 5:30 PM

education: No Degree Required

Responsibilities

+ This is back office type work and would not be working on the phones directly with customers.

+ Talent will be working through a queue

+ Talent will be using various systems and screens to gather information, review and analyze information, and document findings they come across in making their decision.

+ Talent should be self starters - once they finish a claim, they will continue working claims out of their queue for the entirety of the day

+ Transaction/customer account review

+ Ability to make sound decisions based on evidence

+ Talent will be working in the fraud & claims department, specifically working with signature non-fraud on customer's debit cards.

Skills

+ Claims

+ Claims Processing

+ Fraud Investigation

+ Banking Operations

+ Customer support

+ Insurance

+ Data Entry

Qualifications

+ Years of experience: 1 year

+ Experience level: Experienced

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.

Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.

At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact [email protected].

Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).

Applications accepted on ongoing basis until filled.

**get in touch**

we are here to help you with your questions.

MW

**mackenzie weathers**

+ [email protected]